我院处方点评软件的应用性评价

发布时间：2018-01-17 19:04

本文关键词：我院处方点评软件的应用性评价　出处：《中国药房》2015年31期 　论文类型：期刊论文

【摘要】：目的:对我院使用的处方点评软件进行应用性评价。方法:以甲、乙两位药师及软件分别对552张相同处方进行点评的结果进行比较,计算出Kappa值以评价该软件的可靠性;将乙药师的点评结果与软件的点评结果进行联合试验(系列试验和平行试验),再与甲药师的点评结果相比较,计算出灵敏度、特异度、约登指数,以评价该软件的真实性。对甲药师前后两次对相同的552张处方进行点评的结果进行比较,计算出Kappa值以评价甲药师点评的一致性。结果:甲、乙药师的点评结果与软件的点评结果比较一致性差,Kappa值分别为0.020 2、0.002 0,差异均有统计学意义(P0.001);甲、乙药师的点评结果一致性最强,Kappa值为0.843 0,差异无统计学意义(0.1P0.25);软件的灵敏度为69.09%,特异度为32.58%;乙药师的灵敏度为84.55%,特异度为97.74%;平行试验灵敏度较高(93.64%),特异度未有变化(32.35%);系列试验灵敏度稍降(54.55%)、特异度大幅度提高(97.96%),但与甲药师的点评结果比较差异有统计学意义(P0.005);甲药师两次评价结果的Kappa值为0.971 4,差异无统计学意义(0.5P0.75),一致性最强。结论:与我院药师人工点评处方比较,点评软件的灵敏度、特异度均较低,整体的真实性较差。药师与软件联合点评处方并不能有效提高结果的灵敏度及特异度。
[Abstract]:Objective: to evaluate the application of prescription evaluation software used in our hospital. Methods: 552 prescriptions were evaluated by A and B pharmacists and the software. The Kappa value is calculated to evaluate the reliability of the software. The evaluation results of pharmacist B and the evaluation results of software were tested jointly (series of experiments and parallel tests), and then compared with the results of pharmacist A, the sensitivity, specificity and Jordan index were calculated. In order to evaluate the authenticity of the software, the results of the same 552 prescriptions before and after the evaluation of pharmacist A were compared, and the Kappa value was calculated to evaluate the consistency of the evaluation of pharmacist A. Results: A. The consistency of the evaluation results of pharmacist B and that of the software was 0.020 2 / 0.0020, respectively, and the difference was statistically significant (P 0.001). The Kappa value of pharmacists A and B was 0.843 0, and there was no significant difference between them (0.1 P 0.25). The sensitivity of the software was 69.09 and the specificity was 32.58; The sensitivity of pharmacist B was 84.55 and the specificity was 97.74; The sensitivity of parallel test was higher than 93.64 and the specificity did not change 32.35%. The sensitivity of the series tests was slightly reduced to 54.55%, and the specificity was significantly increased by 97.96%, but the difference was statistically significant compared with the results of pharmacists A (P 0.005). The Kappa value of the two evaluation results of pharmacist A was 0.971 4, the difference was not statistically significant (0. 5P0. 75), the consistency was the strongest. Conclusion: compared with the manual evaluation prescription of pharmacists in our hospital. The sensitivity and specificity of the evaluation software are low and the whole authenticity is poor. The combination of pharmacist and software can not effectively improve the sensitivity and specificity of the results.
【作者单位】：南京大学医学院附属鼓楼医院药学部;东南大学附属中大医院药学部;
【分类号】：R95
【正文快照】： *药师。研究方向:临床药学。电话:025-83304616-53701。E-mail:wanghaoshepherd@163.com[2]赵俊,木森,顾明,等.抗菌药物临床应用专项整治活动的做法与体会[J].临床合理用药杂志,2014,7(20):83.[3]潘洁,符明龙,雷伟娟,等.抗菌药物临床应用专项整治活动在某三级医院的实施效果评

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